| Regimental number | 6566 |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 772 Nicholson Street, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Mabel Louisa Holt, 772 Nicholson Street, North Fitzroy, Victoria |
| Enlistment date | 25 October 1915 |
| Rank on enlistment | Sapper |
| Unit name | 5th Field Company Engineers, Reinforcement 4 |
| AWM Embarkation Roll number | 14/24/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Fate | No details of fate entered on Nominal Roll |